Individual provider Active NPI

Rebecca Elizabeth Green, DPT

  • Physical Therapist
  • Wexford, PA
National Provider Identifier
1205365012
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025973 Issued in PA
Practice address
12311 Perry Hwy
Wexford, PA 15090-8344
Phone
(878) 332-4143
Fax
(878) 332-4467
NPI assigned
Jun 6, 2017
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025973 PA Primary

Addresses

Primary practice location

12311 Perry Hwy
Wexford, PA 15090-8344

Mailing address

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 332-4143

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmason136309@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816002181 PA Practitioner - Physical Therapist in Private Practice 6305173196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1159 Bayberry Dr
Canonsburg, PA 15317-4992
Phone (484) 354-5454

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6500

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025973PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroaxis Rehabilitation Services Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jun 24, 2019 Accepting new patients
Neuroaxis Rehabilitation Services CurrentSince Nov 24, 2025 Accepting new patients
Allegheny Clinic CurrentSince Jun 24, 2019 Accepting new patients

Locations

135 Technology Dr
Ste 100
Canonsburg, PA 15317
Phone (724) 585-8145

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

3720 Brownsville Rd
Pittsburgh, PA 15227
Phone (412) 882-9455

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1205365012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "878-332-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "878-332-4143",
            "fax_number": "878-332-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmason136309@direct.ahn.org",
            "affiliation": "N",
            "address_1": "12311 Perry Hwy",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.